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MRKH Syndrome Surgical Vaginoplasty

Neovagina creation techniques in Mayer-Rokitansky-Küster-Hauser syndrome.

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Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kadın Hastalıkları ve Doğum department. Book Appointment →

What is MRKH Syndrome Surgical Vaginoplasty?

MRKH syndrome occurs in 1/4500 women and is the second most common cause of primary amenorrhea. Type I is isolated müllerian aplasia; Type II (MURCS) is müllerian + renal + vertebral anomaly combination.

The non-surgical option is the Frank dilation method; the patient creates a vagina herself with progressive dilators. It provides 80-90% success and is the first-choice method.

Surgical techniques are McIndoe (skin graft), Davydov (peritoneal), Vecchietti (laparoscopic), bowel segment vaginoplasty (sigmoid), and tissue-engineered approaches. Each technique has its own complication profile.

Symptoms

Primary amenorrhea
Normal secondary sexual characteristics
Vaginal agenesis or blind pouch
Cyclic pelvic pain (rudimentary uterus)
Infertility
Difficulty in sexual intercourse

Risk Factors

Family history
MURCS syndrome (additional anomalies)
Renal anomalies
Vertebral anomalies
Hearing loss

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • In primary amenorrhea evaluation
  • Normal breast development and amenorrhea
  • In difficulty with sexual intercourse
  • In cyclic pain in rudimentary uterus

Treatment Methods

01
Diagnostic confirmation (karyotype, hormones, MRI)
02
Psychosexual counseling
03
Frank progressive dilation method
04
Laparoscopic Vecchietti procedure
05
McIndoe skin graft vaginoplasty
06
Bowel segment neovaginoplasty

Which Department to Visit?

You can visit our Kadın Hastalıkları ve Doğum department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Kadın Hastalıkları ve Doğum Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.